Kimberly J Criswell, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001349 Issued in PA

Practice address

80 Medical Park Dr
Lewisburg, PA 17837-6343

Phone

(570) 768-4646

Fax

(570) 768-4648

NPI assigned

Jul 7, 2010

Last updated

Jan 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Pennsylvania State University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Evangelical Medical Services OrganizationGroup PAC ID 9133033087, 255 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evangelical Medical Services Organization

  dba WellSpan Behavioral Health

  • Surgery Physician
  • Lewisburg, PA
  • NPI 1205928967
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Evangelical Medical Services Organization

  dba WellSpan Urology

  • Urology Physician
  • Lewisburg, PA
  • NPI 1083412084
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba Wellspan Pediatric Hospitalists

  • Pediatrics Physician
  • York, PA
  • NPI 1124104245
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1689986697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MEDICAL PARK DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376343",
            "telephone_number": "570-768-4646",
            "fax_number": "570-768-4648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Lystra Rogers Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178378807",
            "country_code": "US",
            "telephone_number": "570-523-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Costa, PA
• Ashley Cox, MED, CRC, LBS
• Jane O. Coyne, M.S.
• Cpgi Endoscopy Center, LLC
• Eric Crawford, DPT
• Christopher Lee Cummings, M.D.
• Jared D Curry
• Morgan L Curtis, PA-C
• Gerard J. Cush, M.D.
• Christopher Craig Custer, M.D.

• Registered Dietitian in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.